Doctor Name: | MS. THERESA BACHER |
NPI Number: | 1245449842 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CASAC |
License Number: | 6572 |
Business Practice Address: | 1200a Hempstead Tpke Franklin Square, NY - 110101534 |
Business Phone Number: | 5163281717 |
Business Fax Number: | 5163281627 |
Mailing Address: | 1200a Hempstead Tpke, FRANKLIN SQUARE |
State: | NY |
Postal Code: | 110101534 |
Phone Number: | 5163281717 |
Fax Number: | 5163281627 |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 6572 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |